Hydrophilic polymer embolization after thoracic endovascular aortic repair

Gary K Yang; Alexa Mordhorst; John Maguire; Michael Janusz; Joel Gagnon

doi:10.1016/j.jvscit.2019.05.002

Hydrophilic polymer embolization after thoracic endovascular aortic repair

J Vasc Surg Cases Innov Tech. 2019 Oct 5;5(4):423-426. doi: 10.1016/j.jvscit.2019.05.002. eCollection 2019 Dec.

Authors

Gary K Yang¹, Alexa Mordhorst¹, John Maguire², Michael Janusz³, Joel Gagnon¹

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
² Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
³ Division of Cardiac Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Hydrophilic polymer embolization is a rare complication after endovascular procedures that is currently underappreciated. Present understanding on this phenomenon relies on sparse case reports with histologic evidence of foreign polymers in end-organ tissue. Here, we report two deaths associated with hydrophilic polymer embolization after complex thoracic endovascular aortic repair.

Keywords: End-organ ischemia; Foreign body; HPE; TEVAR.

Publication types

Case Reports